Organization Active NPI

Merit Medical Practice, PC

  • Rheumatology Physician
  • Rochester, NY
National Provider Identifier
1760520274
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MERIT MEDICAL PRACTICE, PC
Practice address
500 Helendale Rd
Suite 90
Rochester, NY 14609-3173
Phone
(585) 288-0530
Fax
(585) 288-3363
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tammi L Shlotzhauer, 5852880530
Title
Physician
Phone
(585) 288-0530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

500 Helendale Rd
Suite 90
Rochester, NY 14609-3173

Mailing address

500 Helendale Rd
Suite 90
Rochester, NY 14609-3173
Phone (585) 288-0530

Other identifiers 3

IdentifierTypeStateIssuer
AA0637OtherNYMEDICARE
G0188846590OtherNYEXCELLUS
02042262OtherNYMEDICAID

Other names 1

  • Rheumatology Assoicates of Rochster Doing business as

National Provider Directory

National Provider Directory

Locations

500 Helendale Rd
Ste 90
Rochester, NY 14609
Phone (585) 288-0530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760520274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "SUITE 90",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-288-0530",
            "fax_number": "585-288-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "SUITE 90",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-288-0530",
            "fax_number": "585-288-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHLOTZHAUER",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "585-288-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "5852880530"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AA0637",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "G0188846590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "02042262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rheumatology Assoicates of Rochster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.